Jack Edward Coneby, RNBC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN1461352 Issued in FL

Practice address

3820 Central Ave
St Petersburg, FL 33711-1237

Phone

(727) 543-9416

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1265712343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111237",
            "telephone_number": "727-543-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111237",
            "telephone_number": "727-543-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONEBY",
        "first_name": "JACK",
        "middle_name": "EDWARD",
        "credential": "RNBC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "RN1461352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan D Comrie, SLP
• Mark Conant Jr., M.D.
• Shannon Conant
• Andrea M Conard
• Lynette K Conat
• Confidence Home Care LLC
• Marie Nancy Confident Barroso, APRN
• Leonard Confident, M.D.
• Stephanie-Leigh F Coniglio
• Margaret Perpetua Conklin, MS, CCC-SLP

• Adult Psychiatric/Mental Health Registered Nurse in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.